Check the carbs, most juices have a lot of the juice but none of the fiber. I think V 8 is around 15 carbs a serving. If you can fit it into your carb allotment go for it. Sometimes if I have a small glass of V8, I will eat it with cheese or deli meat to help with the spike. It is probably healthier than orange or apple juice. My husband is also a T 2 , a lot longer than me and still drinks pommegrante juice every morning and has no problems.